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Total fee: $ Date Received: <br /> • Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OI: ONTRACTO <br /> JOB SITE ADDRESS: 2 7/S 1..Li, 1 e C7a`( c, ,z ZIP: SSas-6 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes IZJNo If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: 5i->ie "Te-",�,, PHONE: (home) 9.S z. - -t-73- iyo z <br /> (work) <br /> MAILING ADDRESS: 544 CITY: ZIP: <br /> CONTRACTOR: SELA ROOFING&REMODELING,INC. <br /> CONTACT PERSON: 4100 EXCELSIOR BLVD. PHONE: z(J 2— SZ 3. 8u y`'6 <br /> ST.LOITis PARK,MN 55416 MOBILE/PAGER: <br /> MAILING ADDRESS: ID#0001050 CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): J ea,c a f/ ee- � 1-14> a se <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / / 0 0 c> <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: 4, DATE: --Z/-o <br />